Highland Dental | |
530 Highland Station Dr Suite #1006 Suwanee GA 30024 | |
(678) 546-2603 | |
(678) 546-2607 |
Full Name | Highland Dental |
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Speciality | Dentist - General Practice |
Location | 530 Highland Station Dr, Suwanee, Georgia |
Authorized Official Name and Position | James Choi (PRESIDENT) |
Authorized Official Contact | 6785462603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Highland Dental 530 Highland Station Dr Suite #1006 Suwanee GA 30024 Ph: (678) 546-2603 | Highland Dental 530 Highland Station Dr Suite #1006 Suwanee GA 30024 Ph: (678) 546-2603 |
NPI Number | 1982964987 |
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Provider Enumeration Date | 05/23/2012 |
Last Update Date | 05/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982964987 | NPI | - | NPPES |
000925889B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 11856 (Georgia) | Primary |
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